Tendinopathy Godfrey IL

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Randall John Rogalsky, MD
(618) 463-8555
1 Professional Dr Ste 120
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Manitoba, Fac Of Med, Winnipeg, Man, Canada
Graduation Year: 1980

Data Provided By:
Michael Murray Taylor, MD
(618) 462-1201
PO Box 1091
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1973
Hospital
Hospital: Alton Mem Hosp, Alton, Il
Group Practice: Alton Orthopedic Clinic

Data Provided By:
John Edmond Stirnaman, MD
(618) 462-1201
PO Box 1091
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1975
Hospital
Hospital: Alton Mem Hosp, Alton, Il
Group Practice: Alton Orthopedic Clinic

Data Provided By:
Kyle Shepperson
(618) 474-8052
4411 Alby St
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
Bruce Thomas Vest, MD
(618) 474-8052
4411 Alby St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1985

Data Provided By:
Bruce T Vest
(618) 474-8052
4411 Alby St
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
William C Heintz, DDS
(618) 465-7423
2716 Corner Ct
Alton, IL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jonathan Peter Crites, MD
(417) 820-5694
PO Box 1091
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1996

Data Provided By:
Allen Gay Adams, MD
(314) 646-7044
4411 Alby St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1980

Data Provided By:
James Edward Segrist, MD
(618) 462-1722
533 E 3rd St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1977

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Best Treatment for Tendinopathy

It’s not clear what is the best treatment for tendinopathy. That’s the conclusion of researchers reviewing all the published studies on the topic. Tendinopathy refers to a painful tendon condition caused by overuse. Although it feels like it, it’s not the same as tendonitis. There’s pain but no actual inflammation.

Treatment has traditionally focused on providing anti-inflammatory measures. This has included nonsteroidal anti-inflammatory drugs (NSAIDs), steroid injections, and physical therapy modalities. Stretching and strengthening exercises have always been a part of the standard treatment approach.

More recently, shock wave therapy, low-level laser therapy, sclerotherapy, and growth factors and stem cell treatment have been added. The results of all treatment methods were compared by performing a literature review. The authors summarized the results of 177 studies. They did not evaluate the quality of the work done.

For the most part, it appears that NSAIDs and cortisone injections offer short-term relief. There just isn’t a long-term benefit of these treatments. Results using heat and light modalities seem inconsistent. But this may be more likely to occur because of how the studies were conducted. Without consistent methods and measures, it’s difficult to compare one study to another.

The most effective treatment may be eccentric lengthening exercises, sclerotherapy, and nitric oxide patches. Eccentric exercises are done by placing the affected muscle in a shortened position then lengthening the muscle against resistance.

Sclerotherapy is the injection of a chemical to produce scarring in the blood vessels. The idea is to close down tiny blood vessels and destroy nerve fibers that form in the damaged area. Nitric oxide has some potential for tendon healing. A patch placed over the skin delivers an enzyme that acts as a chemical messenger to provide pain relief.

Newer treatments such as growth factors and stem cells look promisin...

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